Publication

At a MEETING of the PERFORMANCE AND AUDIT COMMITTEE OF THE DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held at Dundee on 27th March, 2018.

Present:-

Members	Role

Doug CROSS (Chairperson)	Nominated by Health Board (Non-Executive Member)
Roisin SMITH	Nominated by Dundee City Council (Elected Member)
Helen WRIGHT	Nominated by Dundee City Council (Elected Member)
David W LYNCH	Chief Officer
Dave BERRY	Chief Finance Officer
Jane MARTIN	Chief Social Work Officer

Non-members in attendance at request of Chief Finance Officer:-

Diane McCULLOCH	Dundee Health and Social Care Partnership
Lynsey WEBSTER	Dundee Health and Social Care Partnership
Kathryn SHARP	Dundee Health and Social Care Partnership
Arlene HAY	Dundee Health and Social Care Partnership
Tony GASKIN	Chief Internal Auditor
Bruce CROSBIE	Audit Scotland
Colin McCASHEY	Independent Convenor, Adult Support and Protection Committee

Doug CROSS, Chairperson, in the Chair.

I APOLOGIES FOR ABSENCE

Apologies for absence was/were submitted on behalf of:-

Raymond Marshall	Staff partnership representative
Judith GOLDEN	Nominated by Health Board (Non-Executive Member)
Cesar RODRIGUEZ	Registered Medical Practitioner (not providing primary medical services)

II DECLARATIONS OF INTEREST

No declarations of interest were made.

III MINUTE OF PREVIOUS MEETING

The minute of meeting of this Committee held on 13th February, 2018 was submitted and approved.

IV ADULT SUPPORT AND PROTECTION COMMITTEE INDEPENDENT CONVENORS ANNUAL REPORT

There was submitted Report No PAC13-2018 by the Chief Finance Officer presenting the Independent Convenor of the Adult Support and Protection Committees Annual Report for the period April 2016 to March 2017 which included a summary of the work undertaken and the priorities recommended for the following year.

Colin McCashey, Independent Convenor, Dundee Adult Support and Protection Committee gave a verbal presentation in supplement to the content of the report.

The Committee agreed:-

(i) to note the contents of the Independent Convenor's Report which was attached to the report as an Appendix;

(ii) to note the progress that had been made in developing an effective partnership response to Adult Support and Protection issues in the city;

(iii) to note the progress achieved in response to the Independent Convenor's recommendations for 2016 to 2018 as outlined in Section 4.5 of the report; and

(iv) to record their thanks to Colin McCashey for the work he had undertaken in his capacity as Independent Convenor of Dundee Adult Support and Protection Committee.

V OUTCOME OF CARE INSPECTORATE INSPECTION MACKINNON CENTRE RESPITE PROVISION

There was submitted Report No PAC19-2018 by the Chief Finance Officer advising of the outcome of the recent Care Inspectorate inspection of Mackinnon Centre Respite Service for people with physical disability.

The Committee agreed:-

(i) to note the content of the report and the content of the inspection report which was attached to the report as Appendix 1;

(ii) to note the Excellent grades awarded to the service, the strengths of the service, and the very positive comments made by service users and carers as detailed in paragraph 4.5 of the report;

(iii) to note that quality of environment was not assessed on this occasion and that quality of staffing was assessed which achieved a Grade 6 Excellent; and

(iv) to record their appreciation for the contribution and diligence of staff within the Partnership with responsibility for the service referred to in the report towards achieving the positive report from the inspection carried out by the Care Inspectorate.

VI OUTCOME OF CARE INSPECTORATE INSPECTION HOMECARE (ENABLEMENT AND SUPPORT CITYWIDE AND COMMUNITY MENTALHEALTH OLDER PEOPLE TEAM)

There was submitted Report No PAC20-2018 by the Chief Finance Officer advising of the outcome of the recent Care Inspectorate inspection of the Homecare Enablement and Support Citywide and Community Mental Health Older People Team.

The Committee agreed:-

(i) to note the content of the report and the content of the inspection report which was attached to the report as Appendix 1;

(ii) to note that the service received one recommendation for Homecare Enablement and Support Citywide and Community Mental Health Older People Team as detailed at paragraph 4.8 of the report and the action plan which was submitted to address this which was attached to the report as Appendix 2;

(iii) to note the grades awarded to the services, the strengths of the services, and the very positive comments made by service users and carers as described in paragraph 4.7 of the report; and

VII OUTCOME OF CARE INSPECTORATE INSPECTION WHITE TOP CARE HOME SERVICE

There was submitted Report No PAC21-2018 by the Chief Finance Officer advising of the outcome of the recent Care Inspectorate inspection of White Top Centre (Respite).

The Committee agreed:-

(i) to note the content of the report and the content of the inspection report which was attached to the report as Appendix 1;

(ii) to note the one recommendation from the inspection report as outlined in paragraph 4.8 of the report and the action plan which was submitted to address this which was attached to the report as Appendix 2; and

(iii) to note the grades awarded to the service, the strengths of the service, and the extremely positive comments made by carers; and

VIII CORE TAYSIDE SUITE OF PERFORMANCE INDICATORS

Reference was made to Article IX of the minute of meeting of the Integration Joint Board held on 23rd February, 2016, wherein the Committee agreed to the proposals being developed to establish an Outcomes and Performance Framework.

There was submitted Report No PAC15-2018 by the Chief Finance Officer informing of progress towards developing an agreed set of indicators across the Angus, Dundee and Perth and Kinross Health and Social Care Partnerships for the purposes of benchmarking and supporting performance improvement.

The Committee agreed:-

(i) to note the contents of the report and planned actions to complete and implement the suite of performance indicators as outlined in Sections 4.4 to 4.6 of the report; and

(ii) to note the draft suite of performance indicators contained within Appendix 1 of the report.

IX LOCAL GOVERNMENT BENCHMARKING FRAMEWORK

There was submitted Report No PAC17-2018 by the Chief Finance Officer informing of the performance of Dundee Health and Social Care Partnership towards the social care indicators in the Local Government Benchmarking Framework, for the financial year 2016/2017.

The Committee agreed:-

(i) to note the performance detailed in the report and in Appendix 1 of the report;

(ii) to approve the proposed targets for future rank set out in Table 1, Appendix 1 of the report and described in Section 4.7 of the report and to instruct the Chief Finance Officer to advise Dundee City Council of these revised targets accordingly;

(iii) to note that Local Government Benchmarking Framework performance information would be published on the Dundee City Council website; and

(iv) to note that the indicator for net residential cost per week for older people 65+ in Appendix 1 of the report provided a proposed Integration Joint Board framework figure of 5 out of 8.

X AUDIT SCOTLAND ANNUAL REPORT 2016/17 PERFORMANCE MANAGEMENT IMPROVEMENTS UPDATE

Reference was made to Article IV of the minute of meeting of this Committee held on 12th September 2017, wherein the Committee agreed the External Audit Report and Action Plan.

There was submitted Report No PAC14-2018 by the Chief Finance Officer providing an update regarding steps taken to address risks identified within the Audit Scotland Annual Report 2016/17 in relation to performance management improvements.

The Committee agreed:-

(i) to note the contents of the report;

(ii) to note the progress made in addressing outstanding improvements and tasks in relation to performance management and planned future actions as outlined in Appendix 1 of the report; and

(iii) to acknowledge the level of risk associated with staff resource for performance management improvements and mitigating actions as described at Section 6 of the report and instructed the Chief Finance Officer to record this as a separate and specific risk within the high level risk register.

XI HEALTH AND SOCIAL CARE STANDARDS

There was submitted Report No PAC16-2018 by the Chief Finance Officer informing of the new Health and Social Care Standards, which would inform future models of external scrutiny of Health and Social Care Services.

The Committee agreed:-

(i) to note the content of the new Health and Social Care Standards as outlined in Sections 4.3 and 4.4 and Appendix 1 of the report;

(ii) to note the planned approach to incorporating the content of the new standards into the scrutiny of Health and Social Care Service as outlined in Sections 4.5 to 4.8 of the report; and

(iii) that a report be submitted to a future meeting on the work undertaken by the Clinical Care and Professional Governance Group.

XII AUDIT SCOTLAND - ANNUAL AUDIT PLAN 2017/2018

There was submitted Report No PAC23-2018 by the Chief Finance Officer on the proposed Dundee Integration Joint Board Annual Audit Plan 2017/18 as submitted by the Integration Joint Boards appointed External Auditor (Audit Scotland).

The Committee agreed:-

(i) to note the content of the report; and

(ii) to approve the proposed Audit Plan for 2017/18 as submitted by Audit Scotland which was attached to the report as Appendix 1.

XIII DUNDEE INTEGRATION JOINT BOARD WORKFORCE INTERNAL AUDIT REVIEW

There was submitted Report No PAC8-2018 by the Chief Finance Officer on the findings of the Workforce Internal Audit Review and the management response and associated action plan.

The Committee agreed:-

(i) to note the content of the report and the findings of the Workforce Internal Audit Review, which was attached to the report as Appendix 1;

(ii) to note the management response to the review and associated action plan as noted in Appendix 1 of the report and to instruct the Chief Officer to progress the action plan accordingly;

(iii) that the conclusion of the Service Level Agreement be prioritised and that a report on this matter be brought forward prior to August 2018 providing information on the level of agreement reached in principle to facilitate the finalisation of the document and to further comment from the Committee on content; and

(iv) to note that August 2018 was the deadline for the finalised Service Level Agreement.

XIV DUNDEE INTEGRATION JOINT BOARD INTERNAL AUDIT PLAN PROGRESS REPORT

Reference was made to Article VII of the minute of meeting of this Committee held on 28th November, 2017, wherein the Committee agreed the Internal Audit Plan 2017/2018.

There was submitted Report No PAC22-2018 by the Chief Finance Officer providing a progress update in relation to the current Internal Audit Plan.

The Committee agreed to note the progress of the current Internal Audit Plan as outlined in the report.

XV DATE OF NEXT MEETING

The Committee noted that the next meeting of the Committee would be held in Committee Room 1, 14 City Square, Dundee on Tuesday, 29th May, 2018 at 2.00 pm.

Doug CROSS, Chairperson.